HomeMy WebLinkAbout1250 GISLER AVE - Building Permits PROJECT ADDRESS: 1250 GISLER AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 070383
OWNER'S NAME:CITY OF COSTA MESA -
aoDREss:7% FAIR DR 3RD FLR PERMIT NO: B 070383 PLAN CHECK NO: 00123-94 L GOVT: Y SUPP: N
COSTA MESA
CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
( 714 ) 754-5304
ARCHIENGINEER:DAVID EVANS & ASSOCIATES REGMO.:NONE JOB DESCRIPTION : DEMOLISH & REPLACE ' TOT LOT' EQUIPMENT SQ FT: 400
• ADDRESS: 1000 E. GARVEY AVE. SOUTH UNIT:250
WEST COVINA CA 91790-2720 CLAIM VALUE: 40,000 .00 CALC—VALUE: 40.000. 00 GROUP OCC: A-4 /
PERMITTEE:CITY OF COSTA MESA ( 714 ) 754 -5300
ADDRESS: 77 FAIR DR COMMENTS: DEMOLISH OLD ' TOT LOT' EQUIP. & REPLACE WITH NEW @ "GISLER PARK"
COSTA MESA CA 92626 +E-IERE***iE*****IE-%**IEEE-IE-IE***Rf**IE*1E*IE7ESE1E3E***3f***if1F#****if*****1EiEIEiF-If*if**lf*lE**-7E-lEif-1E#*1EiE**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S
CITY LIC.: STATE LIC.: CLASS: EXP:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP. DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 00000000 ZNE: I&R REF NO:
7 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> REPLACE TOT LOT TO CONFORM WITH ADA REQS .
>
Date: Applicant: ******RE*****************************)E**RE**RE************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thi m need not be co•dated if o'• /is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N'- T S
I certify that in the p•rforman a of the work for which this per ' ed.I shat t' 'plo P. /�it/n anner so as to become p
subject to the W 'ars' oi,, nsalim Laws of California. �� '� '-/I /�i ��i ZONING APPROVED BY _ � c _..,_ DATE: ;j//g
L signature: BUILDING APPROVED BY : __ DATE: /2-/.,1
NOTIC If after. along this declaration,you shoo d •ecome subject toter e deem orkers' ompensation provisions of the Labor _ _ --
Code,you must forthwith comply with such provisions or this permit s�]I be deemed revoked. /� //
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a constr S on lending agency for the performance of the work for APPLICATION ISSUED BY: Ali AP — DATE: /24-5
—
which this permit is issued(Section 3097.Civ. Cl. ********************** ' E 1F************77.* *. **
LENDER: ****************************************** ***********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: thereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 349 . 50 -•
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed •• p.: SMI P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 2 2 7. 1 8 •
. 40
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by --
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044 0. 00 0.00 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through t,
his orher own
Ssoptold wAhn provideone d tohat such ionrove owner will have intendhe ed
or of offered
profor
ngsate.
che did not rthe
uild or improve or REVENUE DIVISION TOTALS--> COLLECTED;: ;--
COLLECTED.—
,- . 00 , OVER/SHORT: 00
for the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business k
and Professions Code: The Contractors'Stale License Law does not apply to an owner of propeM who builds or improves thereon
and who contracts or such projects with a contractor(s)license pursuant to the Contractors'State License La .l am aware ***************************************X***************************************
that proof of their Worker's Compensation insurance should be provided to ' •
INDIVIDUAL 7.F_rE' E BRE AK DOWN
❑ I am exempt under Section: B.&P.C. 4.•— e
for this reaso J / // / TYPE QTY DESCRIPTIO N') . r UNIT COST TOTAL COST
Dar I ji���/9 owner: i � '�. / �//_ SFC 400 ALTER BY VALUATION COMM�.� •%$.100 . 00 100 .00 40,000. 00
I do hereby cen/y that I a aware of and understand the requirements of .lifornia Health and :t Code Sections 25505,25533.and END OF;.FEES
25534 and that I or any future budding occupant will/will not(circle one)need to comply with .d s e codes and the requirements for a • -
Permit for construction or modification from the Air Duality Management District.Residenti. con ruction applications are exempt from -
/ r
these provisions.
Date: Applicant: a
I hereby certify that I have read this application and state that -e ai one inform.ion is c•rrect.I agre h,omply with all city and county ;'s,, ` •-
ordinances and state laws relate to building construction and ereb authorizer::esenta es y n'r f hove-mentioned `y
property for inspec/�o'n pYu ryog/" s' //,�1�/ /'
0 d7i// /�/ �j�,�� a' //J 01. 173432-0017.34E2 TOT ,3
' !llJJJ / Signature. DATE: 32/1.5•!94 TIME: 10:09
Driver's Licen e or Social Security•:
1641.46 White—Building:Green—Code Enforcement:Canary—Appli,ink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POO. SPA •
APPROVALS Permit# Date Inspector APPROVALS'_• Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location i .
2. Soil Pipe,Undrgrnd,- 53. Steel Reinforcement •
•
3. Electrical•Coriduit Utility-Undrgrnd. , " 54. Forms .. r
4.7-Eleciridal Conduic ndrgrnd. 55. Electrical Bonding
5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test
6.-EtectricUFF.6Gfrnd. 57. APPROVAL TOGOVER-GUNITE
- 7.Footings- . _ 58. Electrical Conduit-Undrgrnd- r
8. Foundation •. 59. Gas Pipe, 0 Undrgrnd., Test -
' •
9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK -
11. Property', evyer Line& House Connection " 62. Backwash & Receptor-Final
- +
12. Sewer Cap - - 63. Heater & Vent-Final I
Y l
13. Roof Drains ' 64. Plumbing System " Final
14. Rough Plumbing - 65. Electrical-Final , -
15. Rough Electrical-Conduit 66. Solar System-Final •
16. Rough EI'ectric Wiring 67. Fencing & Access Approval
17. Rough WiFing Sign 68. APPROVED FOR PLASTERING
•
18. Rough Electrical-T Bar Ceiling r 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning .FIRE DEPT. REQUIREMENT
20. Rough F@cto?y Fireplace - .� - . APPROVALS; Permit#
21. Ducts, in Stciicture- •• ?70. Underground,Hydro .
22., Ducis, V¢ntilating, • - . 71. Product Piping 0 Gas O:Oil
-
23. Gas Pipe Rough & Test r _
, . .. r . , -.72, Underground Flush'
r"
24: Roof c'ra'ning ' , -'73:;Undergrnd.Storage=Tank b Gas 0 Oil
25. floor Sheathing v _ - 74. Overhead Hydro._ .,
26. T-Bis Ceiling (Structural) &,MdkSdcoat r f 75�" Dry Chemical
27Frame and Flashing
.' r.. ' -. 76. Dry Standpipe - '-?
28. Lathing & Skiing= - :' : " ' .` 77.i FIXED S STEM FINAL s.,
1y '
29. Insulation ,•r 78. FIRE PREY. FINAL --
' 30. DryvalhNailing c .- - . ..--1 " : HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat , ., --79. FINAL INSPECTION -
32.-Electrical Power Mete?-Final, ••'. .• ea' FOOD CERTIFICATE ISSUED "
33..Final Electric. :-1..1 ' - f- 'Notes: -
34. Final HeAting& Air Conditioning t
35. Final Gas Pipe-Test, - ,` - „ . : I _
_ �T
.36 Hood or Canopyi" ' T LOT-
OV
37. Final Factory Fireplace , __-1_(.TI - • -ae
+_.
38. Final Plumbing .z., - €-e. 5 t �``- --
•f39. Water Se&vice�Final ` -, < + "` • fr_JC.�S16 _ - `')V lf/
40. Gas Service-Final ,r - - «. s -+ -
•41:Solar Domestic-Final- _
42. BackfloW,Preventer- - _
J ..
43. Backflow Irrigation. r.
.
:44. Landscape Grigation System r _ - ;a
45. Sound Attenuation c- - : _ -- =
46. Handicap.Regulations ..,
47: FINAL STRUCTURE & BUILDING //.j/ 4,(' - - -- :) "
48. FINAL PLANNING ' r . I • •-.A Y' •
r '
'49.- Electric Release to Edison s - . -
"50. Gas-Release to Southern California Gas Co , I .-- ,-, `,
51. CERTIFICATE OF OCCUPANCY - -
No. Date